Active NPIIndividual providerSole proprietor

Adanna Ibezim

Nurse Practitioner, Family in Kearny, New Jersey

NPI Number1124305958
Practice location
276 Passaic Ave Unit A, Kearny, NJ 07032-1129
Fax
—
Last updated
September 25, 2024

Adanna Ibezim is a Nurse Practitioner, Family based in Kearny, NJ. Adanna Ibezim practices in Kearny, NJ. The NPI Number for Adanna Ibezim is 1124305958 and holds a License No. 26NJ01397800 (NJ). The current practice location address for Adanna Ibezim is 276 Passaic Ave Unit A, Kearny, NJ 07032-1129 and can be reached out via phone at 201-719-9371.

Provider Profile Details

NPI Number
1124305958
Provider Name
Adanna Ibezim
Provider Entity Type
Individual
Gender
Female
Address
276 Passaic Ave Unit A, Kearny, NJ 07032-1129
Phone Number
201-719-9371
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
November 8, 2011
Last Update Date
September 25, 2024
Certification Date
September 25, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
276 Passaic Ave Unit A
Kearny, NJ 07032-1129
City
Kearny
Zip
07032-1129
Phone Number
201-719-9371
Kearny, NJ 07032Get directions →

Provider Business Mailing Address Details

Address
276 Passaic Ave Unit A
Kearny, NJ 07032-1129
City
Kearny
State
NJ
Zip
07032-1129
Phone Number
201-719-9371

License Information

License Number (1)
26NJ01397800
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (2)
F344186
License State (2)
NY
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Adanna Ibezim?

The NPI number of Adanna Ibezim is 1124305958. It was assigned on November 8, 2011 and is currently active in the NPPES registry.

What is the specialty of Adanna Ibezim?

Adanna Ibezim is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ01397800.

Where does Adanna Ibezim practice?

The practice location is 276 Passaic Ave Unit A, Kearny, NJ 07032-1129. The office can be reached at 201-719-9371 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124305958 directly on the NPPES registry website.

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